Contract Details
Facility name
TherapySouth Clay
Provider ID
P000003441
NPI
1912135484
Tax ID
270398733
Effective Date
2/15/2012
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
6723 Deerfoot Parkway Suite 105
Pinson, AL 35126
United States
County
Jefferson
Phone
2056815131 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
Map
Address